Abstract
Human pelvis is a very stable structure. It achieves its stability from the surrounding musculature and ligaments. Hence, pelvic disruption requires high energy trauma specifically in young people. It is usually associated with multisystem injuries due to its close proximity to the vital structures. Mortality in pelvic injuries is mostly due to the uncontrolled hemorrhage and the late mortality due to associated multisystem injuries, multiorgan failure, and sepsis. Acute management focus on the complex pelvic trauma it includes the systemic control of hemorrhage, pelvic stabilization with external pelvic binder or external fixator, use of pelvic angiography, and embolization and preperitoneal packing. Every institute should develop its own protocol depending on facilities available.
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